How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $30.20 | $35.48 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.72 Typical High $17.38 | Professional | 26 · Professional part | $9.33 | $10.72 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $20.89 | $25.12 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $30.20 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $30.20 | $44.67 | $63.10 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $9.12 | $12.59 | $16.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $34.67 Typical High $45.71 | Professional | TC · Technical part | $22.91 | $34.67 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $39.81 Typical High $75.86 | Professional | None (both parts) | $38.02 | $39.81 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.48 Typical High $20.42 | Professional | 26 · Professional part | $11.22 | $11.48 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $56.23 | Professional | TC · Technical part | $23.99 | $28.84 | $56.23 |
Harvard Pilgrim Setting Professional Modifier None (both parts) Typical Low $32.36 Median $47.86 Typical High $67.61 | Professional | None (both parts) | $32.36 | $47.86 | $67.61 |
Harvard Pilgrim Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $18.20 | Professional | 26 · Professional part | $10.72 | $12.88 | $18.20 |
Harvard Pilgrim Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $32.36 Typical High $48.98 | Professional | TC · Technical part | $24.55 | $32.36 | $48.98 |
Martin's Point Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Martin's Point Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $63.10 | Professional | None (both parts) | $30.90 | $35.48 | $63.10 |
Martin's Point Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $17.38 | Professional | 26 · Professional part | $9.55 | $10.72 | $17.38 |
Martin's Point Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $20.89 | $25.12 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $39.81 Typical High $64.57 | Professional | None (both parts) | $29.51 | $39.81 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.49 Typical High $18.20 | Professional | 26 · Professional part | $9.33 | $13.49 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $20.42 | $26.92 | $46.77 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $23.99 | $28.84 | $28.84 |
Martin's Point Setting Professional Modifier FX · Film X-ray Typical Low $23.99 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $23.99 | $28.84 | $28.84 |
Where Maine sits
The same service costs 3.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Maine· 24th of 51
$39.81
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.